NPI 1033951819
Living N My Space
Practice location
- Address
- 19004 Oak Dr, Detroit, MI 48221-2264
- Phone
- (866) 778-3268
- Mailing address
- 535 Griswold St STE 541, Detroit, MI 48226-3672
Authorised official
- Name
- Perry L Taylor
- Title
- Administrator
- Phone
- (313) 926-3524
Registered specialties (5)
Substance Abuse Rehabilitation Facility
Primary
Social Worker
Meals Provider
Lodging Provider
Case Management Agency
Registry record
- NPI
- 1033951819
- Entity type
- Organization
- NPI issued
- 11 Jun 2024
- Record last updated
- 11 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.